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Broad authority to determine what models will be tested, in what populations, and for how long, with a preference for models that address deficits in care leading to poor clinical outcomes or potentially avoidable expenditures

The purpose is to reduce the per capita rate of growth in Medicare spending

Operates independently of MedPAC

Recommendations take effect absent Congressional action

May recommend changes to Part D to generate required savings

Broad scope of research (drugs, devices, procedures, delivery system) with a focus on clinical effectiveness research

Findings are not coverage/ payment recommendations, but can be used by HHS to inform coverage

Individual mandate: Will the uninsured and newly eligible for Medicaid enroll? Will the insured increase by 32 million as targeted? Or will only sicker, costlier enroll? Or the mandate thrown out??

Employer pay or play: Will employers drop health benefits after 2016 to facilitate direct consumer engagement and their reduce operating costs? Will their employees purchase through the exchanges, or go without?

State solvency: Will states be able to manage their expansion new responsibilities and obligations?